| NPI | 1982394615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZZETTE IRIZARRY Treasure 954-544-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |